BOLD LEGACY PRACTICE, LLC

MARIETTA, GA
NPI1972212116
Doing Business AsQUADRIVIUM HEALTH LLC
Doing Business AsAMERICAN FAMILY CARE
Doing Business AsBOLD LEGACY MANAGEMENT, LLC
Entity TypeOrganization
Authorized ContactLEIA CHATMAN DAWSON
Medical Director
205-907-5342
Organization Subpart ?No
Primary Taxonomy261QU0200X Clinic/Center, Urgent Care
Additional Taxonomies261Q00000X Clinic/Center
Enumeration Date2022-11-16
Last Update Date2024-01-05
Business Address
BOLD LEGACY PRACTICE, LLC
1401 JOHNSON FERRY RD STE 390
MARIETTA, GA 30062-9100
Phone number: 470-795-0047
Mailing Address
BOLD LEGACY PRACTICE, LLC
1117 EAGLES CREEK WAY NW
ACWORTH, GA 30101-4696
Phone number: 470-795-0047